=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043276835
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RICHARD ANTHONY SALADINO DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/21/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11009 GATEWOOD DRIVE STE 103
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-741-8900
-----------------------------------------------------
Fax | 941-741-8990
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11009 GATEWOOD DRIVE STE 103
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-741-8900
-----------------------------------------------------
Fax | 941-741-8990
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH5845
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------